ORGANISATION & POLICY FOR HOSPITALS - April 2007医院组织与政策- 2007年4月HSMT 9016.TOPIC OVERVIEW AND STUDY GUIDE课程概要及学习指南In April 2007 this topic will be taught over three days in two locations – Hangzhou 13 - 15 April and Shenzen – 20 – 22 April.2007年4月该课程在杭州和深圳授课.授课时间:杭州(4月13日—4月15日)、深圳(4月20日—4月22日)The significance of understanding the policy process at the time of rapid change cannot be overestimated. Governments are being forced to make rapid adjustments to Foreign Trade, Economic and Social policy in response to global change. Health care has to adjust rapidly because it is influenced by information exchange, new technologies, ideas, policies and the rapid spread of some diseases. It is important to understand the policy process and how organisations can respond to these influences. 理解政策制定的过程在快速变化的时代是非常重要的.政府必须对外贸,经济和社会政策进行快速的调整才能应对全球变化.由于信息交换和新技术的发展,新理念,新政策的出现以及一些疾病的快速传播使得医疗卫生服务必须同样快速调整.因此,理解政策制定过程和了解组织如何应对这些政策所带来的影响是非常重要的.This topic is all about the way Governments get involved in Health care and make policy decisions which are critical to the operation of the Health System.We ask the question why Governments get involved and how they intervene.There are many large policy questions which are to do with the economy, foreign policy, governance and other major issues which do not seem to be directly linked to health policy. However we need to recognise the links between policy areas. The decision by China, for instance, to joint the World trade Organisation (WTO) has had and will have for many years to come, a big influence on the way health care is organised. Three important issues, for instance, to be influenced are: How health care is financed, what technologies are available, and how equity in care is assured.The introductory session is therefore about the nature of globalisation and how it influences public policy and the world we live in. 本课程全部内容都将围绕政府是如何介入医疗卫生服务和如何制定与医疗卫生体系运行相关的重要政策展开.我们将回答两个问题:政府为什么要介入?它怎样去介入?表面看来很多主要的政策如经济政策,外交政策,统治政策等等与医疗卫生政策并没有直接的联系.然而,我们需要去发掘他们之间的联系.例如中国加入世贸组织,已经而且肯定在未来很多年内会对中国的医疗卫生服务产生很大的影响.例如,以下三大问题将会被影响:与医疗卫生服务相关的财政政策,可获得的技术及其相关问题以及如何保证医疗卫生服务的公平性.所以引言部分将首先介绍全球化的性质以及它如何影响公共政策及如何影响我们所生存的世界.This topic starts with a discussion of the various ways that Gobalisation is influencing the way we live and work.本课程首先从不同角度来讨论全球化如何影响我们的生活和工作In this global context it is therefore important to be able to compare the way services are organised and are being reformed in Europe and North America with current trends in China. Are we heading in the right direction; or is the evidence from overseas that China is about to make some serious errors which could be avoided if notice was taken of overseas experience? The next few sessions set out the models of health financing, insurance, hospital and doctor funding commonly found in O.E.C.D.countries.This is followed by a list of priorities for a National Health Service, based on Australian experience, and strategies for organising services which have to be consistent with the funding and structural plans. All countries are now caught up in big issues which are part of a world agenda of public policy making and action. Problems such as AIDS, SARS, Poverty, Terrorism, and Genetic Technology cannot be contained within the boundaries of any one country.在全球化的背景下,将欧洲和北美的服务组织模式与现在中国出现的趋势进行比较有着非常重要的意义.我们是否正朝着正确的方向努力或者如果中国借鉴了国外的经验是否能够避免一些严重的错误?接下来的几部分主要介绍了经济合作与发展组织国家所实行的医疗财政政策模型,医疗保险模型,医院资金模型以及医生的工资模型.然后我们再以澳大利亚的经验为模板,介绍一下澳大利亚国家医疗卫生服务的优先考虑项目,以及相应的组织战略使其与融资和结构计划相一致.The cost of the health system and the growing needs and expectations of the public mean that all governments are now involved in reforming their health systems to ensure they are efficient, safe, affordable and of high quality. The approaches are influenced by the different history, traditions and culture of each country.Administrators need to have a keen understanding of these big issues if they are to provide their services with the strategic leadership needed to thrive in a very competitive world. Fu
……

欲阅读全文，请下载！